A 66-year-old retired miner presents with chronic cough productive of sputum and exertional dyspnoea. He continues to smoke. Spirometry shows FEV1/FVC...

Question

A 66-year-old retired miner presents with chronic cough productive of sputum and exertional dyspnoea. He continues to smoke. Spirometry shows FEV1/FVC ratio of 0.6 and FEV1 55% predicted. What is the most appropriate first-line pharmacological treatment in addition to smoking cessation and vaccination?

Accepted Answer

Short-acting bronchodilator such as salbutamol as needed

Answer

Long-term oral steroids

Answer

Long-term prophylactic antibiotics

Answer

Immediate long-term oxygen therapy at home

Answer

No pharmacological treatment is indicated

uk-plab-1 MCQ (SBA): Stable COPD